Comparison of Perioperative Results of the Use of a Double-Lumen Tube and Laryngeal Mask Airway in Video-assisted Thoracoscopic Wedge Resection: A Retrospective Clinical Study Video Yardımlı Torakoskopik Wedge Rezeksiyonunda Çift Lümenli Tüp ve Laringeal Maske Hava Yolu Kullanımının Perioperatif Sonuçlarının Karşılaştırılması; Retrospektif Klinik Çalışma
Medical Journal of Bakirkoy, cilt.18, sa.2, ss.209-217, 2022 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.4274/bmj.galenos.2022.2022.3-18
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE
- Sayfa Sayıları: ss.209-217
- Anahtar Kelimeler: Laryngeal mask airway, endotracheal intubation, double-lumen tube, wedge resection, primary spontaneous pneumothorax
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To evaluate the feasibility and safety of double-lumen tube (DLT) endotracheal intubation and laryngeal mask airway (LMA) use in the airway management of patients undergoing general anesthesia in thoracoscopic surgery of primary spontaneous pneumothorax. Methods: For this retrospective observational study, patients were assigned to the LMA group (n=68) and DLT group (n=52) according to the airway method used. Perioperative clinical parameters of patients in both groups were collected through an institutional computer-based documentation system. The SPSS 22.00 program was used for data analysis. Results: There was no statistically significant difference between the groups in terms of demographic and surgical data (p>0.05). After induction, heart rate (p=0.026) and mean blood pressure (p=0.019) were found to be statistically higher in the DLT group than the LMA group in the T2 period when patients were treated with LMA or DLT. When the mechanical ventilation data of both groups were compared, plateau pressure, peak pressure, driver pressure, compliance, and calculated mechanical power values were statistically similar between the two groups. The number of patients experiencing sore throats during the postoperative period was significantly lower in the LMA group (n=11, 16.17%) than that in the DLT group (n=12, 23.07%) (p=0.034). Conclusion: Compared with DLT, the use of an LMA in patients for airway management in video assisted thoracoscopic wedge resection can be performed safely and successfully, providing more stable hemodynamics and similar mechanical ventilation parameters.